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  • NSG 123 Medical Surgical Nursing
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Exam (elaborations)

NSG 123 Medical Surgical Nursing-- Lecture Questions For Exam 1 Content

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T/F Surgery classification based on the degree of urgency is considered emergent if it is scheduled within 24 to 30 hours (e.g., acute gallbladder infection). False, emergent is without delay, urgent is 24-30 hours T/F It is the doctor's responsibility to provide appropriate information concerning surgery and obtain the written surgical consent. True, nurse whitnesses conformed consent. If patient does not understand, call doctor back to re educate them. Emergency and they are not awake is an exception T/F Any nutritional deficiency prior to surgery should be corrected before surgery to provide adequate protein for tissue repair and collagen deposition. True, check especially in patients who are on corticosteroids, diabetes, dehydration, and malnourishment T/F Patients who smoke are urged to stop 1 to 3 weeks before surgery to significantly reduce pulmonary and wound healing complications. False, stop smoking 30 days prior T/F Aspirin, a common over-the-counter (OTC) medication that inhibits platelet aggregation, should be prudently discontinued 7 to 10 days before surgery or the patient may be at increased risk for bleeding. True, anything that will cause clotting issues Scrub nurses and circulating nurses care for patients during which perioperative phase? Scrub nurses and circulating nurses care for patients during the intraoperative phase of perioperative nursing. Why is food and fluid withheld before surgery? The purpose of withholding food and fluid before surgery is to prevent aspiration. Obese patients are at higher risk for what kind of postoperative complications? & why? Pulmonary Complications An obese patient tends to have shallow respirations when supine, increasing the risk of hypoventilation and postoperative pulmonary complications. T/F Dehydration, hypovolemia, and electrolyte imbalances can lead to significant problems in patients with comorbid medical conditions or in older adults. True What are patients with diabetes at a higher risk for with surgery? & why? The patient with diabetes is at risk for hypoglycemia either during anesthesia or postoperatively WHY? Inadequate carbohydrates or excessive administration of insulin. T/F Age alone confers enough surgical risk that it is a clinical predictor of cardiovascular complications related to anesthesia and surgery. True

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NSG 123 Medical Surgical Nursing--
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Lecture Questions For Exam 1 Content
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T/F
Surgeryghclassificationghbasedghonghtheghdegreeghofghurgencyghisghconsideredghemergentghifghitghisghschedu
ledghwithingh24ghtogh30ghhoursgh(e.g.,ghacuteghgallbladderghinfection).
False,ghemergentghisghwithoutghdelay,ghurgentghisgh24-30ghhours
T/F
Itghisghtheghdoctor'sghresponsibilityghtoghprovideghappropriateghinformationghconcerningghsurgeryghandgho
btainghtheghwrittenghsurgicalghconsent.
True,ghnurseghwhitnessesghconformedghconsent.ghIfghpatientghdoesghnotghunderstand,ghcallghdoctor
ghbackghtoghregheducateghthem.ghEmergencyghandghtheyghareghnotghawakeghisghanghexception

T/Fgh
Anyghnutritionalghdeficiencyghpriorghtoghsurgeryghshouldghbeghcorrectedghbeforeghsurgeryghtoghprovideghad
equateghproteinghforghtissueghrepairghandghcollagenghdeposition.
True,ghcheckghespeciallyghinghpatientsghwhoghareghonghcorticosteroids,ghdiabetes,ghdehydration,gh
andghmalnourishment
T/F
Patientsghwhoghsmokeghareghurgedghtoghstopgh1ghtogh3ghweeksghbeforeghsurgeryghtoghsignificantlyghreduceghp
ulmonaryghandghwoundghhealingghcomplications. False,ghstopghsmokinggh30ghdaysghprior
T/F
Aspirin,ghaghcommonghover-the-
countergh(OTC)ghmedicationghthatghinhibitsghplateletghaggregation,ghshouldghbeghprudentlyghdiscontinue
dgh7ghtogh10ghdaysghbeforeghsurgeryghorghtheghpatientghmayghbeghatghincreasedghriskghforghbleeding.
True,ghanythingghthatghwillghcauseghclottingghissues
Scrubghnursesghandghcirculatingghnursesghcareghforghpatientsghduringghwhichghperioperativeghphase?
Scrubghnursesghandghcirculatingghnursesghcareghforghpatientsghduringghtheghintraoperativeghphasegh
ofghperioperativeghnursing.
Whyghisghfoodghandghfluidghwithheldghbeforeghsurgery?
Theghpurposeghofghwithholdingghfoodghandghfluidghbeforeghsurgeryghisghtoghpreventghaspiration.
Obeseghpatientsghareghatghhigherghriskghforghwhatghkindghofghpostoperativeghcomplications?gh&ghwhy?
PulmonaryghComplications
Anghobeseghpatientghtendsghtoghhaveghshallowghrespirationsghwhenghsupine,ghincreasingghtheghriskghofghhyp
oventilationghandghpostoperativeghpulmonaryghcomplications.
T/F
Dehydration,ghhypovolemia,ghandghelectrolyteghimbalancesghcanghleadghtoghsignificantghproblemsghinghpa
tientsghwithghcomorbidghmedicalghconditionsghorghingholderghadults. True
Whatghareghpatientsghwithghdiabetesghatghaghhigherghriskghforghwithghsurgery?gh&ghwhy?
Theghpatientghwithghdiabetesghisghatghriskghforghhypoglycemiagheitherghduringghanesthesiaghorghpost
operatively
WHY?gh
Inadequateghcarbohydratesghorghexcessiveghadministrationghofghinsulin.
T/F

, Ageghaloneghconfersghenoughghsurgicalghriskghthatghitghisghaghclinicalghpredictorghofghcardiovascularghcomp
licationsghrelatedghtoghanesthesiaghandghsurgery. True
T/F
Throughoutghsurgery,ghnursingghresponsibilitiesghincludeghprovidingghforghtheghsafetyghandghwell-
beingghofghtheghpatient,ghcoordinatingghtheghORghpersonnel,ghandghperformingghscrubghandghcirculatinggha
ctivities. True
T/F
Nursingghassessmentghofghtheghintraoperativeghpatientghinvolvesghobtainingghdataghfromghtheghpatientghan
dghtheghpatient'sghmedicalghrecordghtoghidentifyghfactorsghthatghcanghaffectghcare.
True,ghonlyghmonitorghduringghsleepingghpatientghwhichghisghduringghtheghintraoperativeghphase
T/F
Constantghsurveillanceghandghconscientiousghtechniqueghinghcarryingghoutghasepticghpracticesghareghneces
saryghtoghreduceghtheghriskghofghcontaminationghandghinfection. True
T/F
Rewarmingghaghpatientghafterghsurgeryghmustghbeghaccomplishedghrapidlyghtoghpreventghfurtherghhypother
mia. False,ghslowlyghrewarmghthemghinghtheghPACU
Asghtheghsurgicalghincisionghisghclosed,ghtheghscrubghpersonghandghtheghcirculatingghnurse............
countghallghneedles,ghsponges,ghandghinstrumentsghtoghbeghsureghtheyghareghaccountedghforghandghno
tghretainedghasghaghforeignghbodyghinghtheghpatient.
Whatghstageghofghgeneralghanesthesiaghisghcharacterizedghbyghstruggling,ghshouting,ghlaughing,ghorghcryin
gghandghcanghoftenghbeghavoidedghifghtheghanestheticghisghadministeredghsmoothlyghandghquickly?
ExcitementghStage
T/F
PatientghadvocacyghinghtheghORghentailsghmaintainingghtheghpatient'sghphysicalghandghemotionalghcomfort
,ghprivacy,ghrights,ghandghdignityTrue
Theghpreferredghanestheticghmethodghinghanyghsurgicalghprocedureghis?
Localghbecauseghitghcausesghlessghsidegheffects,ghbutghtheghpatientghisghstillghawake
Theghprimaryghobjectiveghinghtheghimmediateghpostoperativeghperiodghisghto..........
maintainghventilationghandghpreventghhypoxemiaghandghhypercapnia.
T/F
TheghnurseghwhoghadmitsghtheghpatientghtoghtheghPACUghreviewsghessentialghinformationghwithghtheghanest
hesiologistghorghCRNAghandghtheghcirculatingghnurse. True
Nauseaghandghvomitingghoccursghinghaboutgh10%ghofghpatientsghinghtheghPACU.ghTheghnurseghshouldghnotghi
nterveneghatghtheghpatient'sghfirstghreportghofghnausea,ghratherghshouldghwaitghforghitghtoghprogressghtoghvomit
ing.
False,ghtreatghnausea.ghSomeghdoctorsghmayghpreghtreatghifghthatghisghpossibleghfromghknowledgegho
fghpreviousghanestheticghuse
Theghfirstghsymptomghofghdeepghveinghthrombosisghmayghbe............
aghpainghorghaghcrampghinghtheghcalf.
InghphaseghIIIghofghpostanesthesiaghcare,ghtheghpatientghwouldghbeghpreparedghfor........... Discharge
TheghprimaryghcardiovascularghcomplicationsghseenghinghtheghPACUghinclude........
hypotensionghandghshock,ghhemorrhage,ghhypertension,ghandghdysrhythmias.
OrthostaticghHypotensionghcanghresultghfrom.........gh&ghActionsghtoghpreform
bloodghloss,ghhypoventilation,ghpositionghchanges,ghpoolingghofghbloodghinghtheghextremities,ghorgh
sidegheffectsghofghmedicationsghandghanesthetics.gh

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